Resource utilization among patients with sepsis syndrome

David W. Bates, D. Tony Yu, Edgar Black, Kenneth E. Sands, J. Sanford Schwartz, Patricia L. Hibberd, Paul S. Graman, Paul N. Lanken, Katherine L. Kahn, David R. Snydman, Jeffrey Parsonnet, Richard D Moore, Richard Platt

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: To assess the resource utilization associated with sepsis syndrome in academic medical centers. DESIGN: Prospective cohort study. SETTING: Eight academic, tertiary-care centers. PATIENTS: Stratified random sample of 1,028 adult admissions with sepsis syndrome and all 248,761 other adult admissions between January 1993 and April 1994. The main outcome measures were length of stay (LOS) in total and after onset of sepsis syndrome (post-onset LOS) and total hospital charges. RESULTS: The mean LOS for patients with sepsis was 27.7 ±0.9 days (median, 20 days), with sepsis onset occurring after a mean of 8.1 ± 0.4 days (median, 3 days). For all patients without sepsis, the LOS was 7.2 ± 0.03 days (median, 4 days). In multiple linear regression models, the mean for patients with sepsis syndrome was 18.2 days, which was 11.0 days longer than the mean for all other patients (P <.0001), whereas the mean difference in total charges was $43,000 (both P <.0001). These differences were greater for patients with nosocomial as compared with communityacquired sepsis, although the groups were similar after adjusting for pre-onset LOS. Eight independent correlates of increased postonset LOS and 12 correlates of total charges were identified. CONCLUSIONS: These data quantify the resource utilization associated with. sepsis syndrome, and demonstrate that resource utilization is high in this group. Additional investigation is required to determine how much of the excess post-onset LOS and charges are attributable to sepsis syndrome rather than the underlying medical conditions.

Original languageEnglish (US)
Pages (from-to)62-70
Number of pages9
JournalInfection Control and Hospital Epidemiology
Volume24
Issue number1
DOIs
StatePublished - Jan 1 2003
Externally publishedYes

Fingerprint

Systemic Inflammatory Response Syndrome
Length of Stay
Sepsis
Linear Models
Hospital Charges
Tertiary Care Centers
Cohort Studies
Outcome Assessment (Health Care)
Prospective Studies

ASJC Scopus subject areas

  • Microbiology (medical)
  • Immunology

Cite this

Bates, D. W., Yu, D. T., Black, E., Sands, K. E., Schwartz, J. S., Hibberd, P. L., ... Platt, R. (2003). Resource utilization among patients with sepsis syndrome. Infection Control and Hospital Epidemiology, 24(1), 62-70. https://doi.org/10.1086/502117

Resource utilization among patients with sepsis syndrome. / Bates, David W.; Yu, D. Tony; Black, Edgar; Sands, Kenneth E.; Schwartz, J. Sanford; Hibberd, Patricia L.; Graman, Paul S.; Lanken, Paul N.; Kahn, Katherine L.; Snydman, David R.; Parsonnet, Jeffrey; Moore, Richard D; Platt, Richard.

In: Infection Control and Hospital Epidemiology, Vol. 24, No. 1, 01.01.2003, p. 62-70.

Research output: Contribution to journalArticle

Bates, DW, Yu, DT, Black, E, Sands, KE, Schwartz, JS, Hibberd, PL, Graman, PS, Lanken, PN, Kahn, KL, Snydman, DR, Parsonnet, J, Moore, RD & Platt, R 2003, 'Resource utilization among patients with sepsis syndrome', Infection Control and Hospital Epidemiology, vol. 24, no. 1, pp. 62-70. https://doi.org/10.1086/502117
Bates DW, Yu DT, Black E, Sands KE, Schwartz JS, Hibberd PL et al. Resource utilization among patients with sepsis syndrome. Infection Control and Hospital Epidemiology. 2003 Jan 1;24(1):62-70. https://doi.org/10.1086/502117
Bates, David W. ; Yu, D. Tony ; Black, Edgar ; Sands, Kenneth E. ; Schwartz, J. Sanford ; Hibberd, Patricia L. ; Graman, Paul S. ; Lanken, Paul N. ; Kahn, Katherine L. ; Snydman, David R. ; Parsonnet, Jeffrey ; Moore, Richard D ; Platt, Richard. / Resource utilization among patients with sepsis syndrome. In: Infection Control and Hospital Epidemiology. 2003 ; Vol. 24, No. 1. pp. 62-70.
@article{d35c9a3e435947d3ac1fba77d228fb9b,
title = "Resource utilization among patients with sepsis syndrome",
abstract = "OBJECTIVE: To assess the resource utilization associated with sepsis syndrome in academic medical centers. DESIGN: Prospective cohort study. SETTING: Eight academic, tertiary-care centers. PATIENTS: Stratified random sample of 1,028 adult admissions with sepsis syndrome and all 248,761 other adult admissions between January 1993 and April 1994. The main outcome measures were length of stay (LOS) in total and after onset of sepsis syndrome (post-onset LOS) and total hospital charges. RESULTS: The mean LOS for patients with sepsis was 27.7 ±0.9 days (median, 20 days), with sepsis onset occurring after a mean of 8.1 ± 0.4 days (median, 3 days). For all patients without sepsis, the LOS was 7.2 ± 0.03 days (median, 4 days). In multiple linear regression models, the mean for patients with sepsis syndrome was 18.2 days, which was 11.0 days longer than the mean for all other patients (P <.0001), whereas the mean difference in total charges was $43,000 (both P <.0001). These differences were greater for patients with nosocomial as compared with communityacquired sepsis, although the groups were similar after adjusting for pre-onset LOS. Eight independent correlates of increased postonset LOS and 12 correlates of total charges were identified. CONCLUSIONS: These data quantify the resource utilization associated with. sepsis syndrome, and demonstrate that resource utilization is high in this group. Additional investigation is required to determine how much of the excess post-onset LOS and charges are attributable to sepsis syndrome rather than the underlying medical conditions.",
author = "Bates, {David W.} and Yu, {D. Tony} and Edgar Black and Sands, {Kenneth E.} and Schwartz, {J. Sanford} and Hibberd, {Patricia L.} and Graman, {Paul S.} and Lanken, {Paul N.} and Kahn, {Katherine L.} and Snydman, {David R.} and Jeffrey Parsonnet and Moore, {Richard D} and Richard Platt",
year = "2003",
month = "1",
day = "1",
doi = "10.1086/502117",
language = "English (US)",
volume = "24",
pages = "62--70",
journal = "Infection Control and Hospital Epidemiology",
issn = "0899-823X",
publisher = "University of Chicago Press",
number = "1",

}

TY - JOUR

T1 - Resource utilization among patients with sepsis syndrome

AU - Bates, David W.

AU - Yu, D. Tony

AU - Black, Edgar

AU - Sands, Kenneth E.

AU - Schwartz, J. Sanford

AU - Hibberd, Patricia L.

AU - Graman, Paul S.

AU - Lanken, Paul N.

AU - Kahn, Katherine L.

AU - Snydman, David R.

AU - Parsonnet, Jeffrey

AU - Moore, Richard D

AU - Platt, Richard

PY - 2003/1/1

Y1 - 2003/1/1

N2 - OBJECTIVE: To assess the resource utilization associated with sepsis syndrome in academic medical centers. DESIGN: Prospective cohort study. SETTING: Eight academic, tertiary-care centers. PATIENTS: Stratified random sample of 1,028 adult admissions with sepsis syndrome and all 248,761 other adult admissions between January 1993 and April 1994. The main outcome measures were length of stay (LOS) in total and after onset of sepsis syndrome (post-onset LOS) and total hospital charges. RESULTS: The mean LOS for patients with sepsis was 27.7 ±0.9 days (median, 20 days), with sepsis onset occurring after a mean of 8.1 ± 0.4 days (median, 3 days). For all patients without sepsis, the LOS was 7.2 ± 0.03 days (median, 4 days). In multiple linear regression models, the mean for patients with sepsis syndrome was 18.2 days, which was 11.0 days longer than the mean for all other patients (P <.0001), whereas the mean difference in total charges was $43,000 (both P <.0001). These differences were greater for patients with nosocomial as compared with communityacquired sepsis, although the groups were similar after adjusting for pre-onset LOS. Eight independent correlates of increased postonset LOS and 12 correlates of total charges were identified. CONCLUSIONS: These data quantify the resource utilization associated with. sepsis syndrome, and demonstrate that resource utilization is high in this group. Additional investigation is required to determine how much of the excess post-onset LOS and charges are attributable to sepsis syndrome rather than the underlying medical conditions.

AB - OBJECTIVE: To assess the resource utilization associated with sepsis syndrome in academic medical centers. DESIGN: Prospective cohort study. SETTING: Eight academic, tertiary-care centers. PATIENTS: Stratified random sample of 1,028 adult admissions with sepsis syndrome and all 248,761 other adult admissions between January 1993 and April 1994. The main outcome measures were length of stay (LOS) in total and after onset of sepsis syndrome (post-onset LOS) and total hospital charges. RESULTS: The mean LOS for patients with sepsis was 27.7 ±0.9 days (median, 20 days), with sepsis onset occurring after a mean of 8.1 ± 0.4 days (median, 3 days). For all patients without sepsis, the LOS was 7.2 ± 0.03 days (median, 4 days). In multiple linear regression models, the mean for patients with sepsis syndrome was 18.2 days, which was 11.0 days longer than the mean for all other patients (P <.0001), whereas the mean difference in total charges was $43,000 (both P <.0001). These differences were greater for patients with nosocomial as compared with communityacquired sepsis, although the groups were similar after adjusting for pre-onset LOS. Eight independent correlates of increased postonset LOS and 12 correlates of total charges were identified. CONCLUSIONS: These data quantify the resource utilization associated with. sepsis syndrome, and demonstrate that resource utilization is high in this group. Additional investigation is required to determine how much of the excess post-onset LOS and charges are attributable to sepsis syndrome rather than the underlying medical conditions.

UR - http://www.scopus.com/inward/record.url?scp=0037235928&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037235928&partnerID=8YFLogxK

U2 - 10.1086/502117

DO - 10.1086/502117

M3 - Article

VL - 24

SP - 62

EP - 70

JO - Infection Control and Hospital Epidemiology

JF - Infection Control and Hospital Epidemiology

SN - 0899-823X

IS - 1

ER -